Alan D Olmstead

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

M4775 Issued in ID

Practice address

844 Washington St N Ste 100
Twin Falls, ID 83301

Phone

(208) 734-6800

Fax

(208) 735-1635

NPI assigned

Oct 13, 2006

Last updated

Dec 5, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

89.4 of 100Reported as individual

Quality

80.73

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alan Olmstead MD CHTD

  • Dermatology Physician
  • Twin Falls, ID
  • NPI 1942499165
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1306936794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 WASHINGTON ST N STE 100",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013874",
            "telephone_number": "208-734-6800",
            "fax_number": "208-735-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 WASHINGTON ST N STE 100",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "83301",
            "telephone_number": "208-734-6800",
            "fax_number": "208-735-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLMSTEAD",
        "first_name": "ALAN",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ID",
            "license": "M-4775",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "ID",
            "license": "M4775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001242700",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lora Ann Ohlensehlen, LCSW
• Martin Okelberry, PTA
• Oler Dental (exclusively endodontics)
• Cameron D Oler, D.D.S.
• Olivia Cox Nutrition LLC.
• Eila S Olmstead, MS CCC-SLP
• Danielle Elizabeth Olney, PT, DPT
• Elizabeth Anne Olorenshaw, DPT
• Omega Service Coordination, Incorporated
• Omni Kids

• Dermatology Physician in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Dermatology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.